| NPI | 1568521011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301072761) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 43-01-072761) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-12-09 |